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Wednesday
Jul162014

« MEDICAID NEWS: Revalidation, FastAttach »

In compliance with federal regulations within the Affordable Care Act (ACA) the Health Care Authority (HCA) will be conducting Medicaid provider revalidations. The HCA is required to revalidate providers at least once every five years with an expectation to revalidate 20 percent of enrolled providers each year. The revalidation process is aimed at preventing Medicaid fraud and abuse. According to the HCA, there are an estimated 57,000 providers enrolled in Medicaid in Washington state. To obtain an annual 20 percent revalidation threshold, an estimated 11,400 providers will need to be revalidated each year. 

If you are selected to undergo revalidation, you will receive a revalidation request from the Health Care Authority which lays out the requested documents and required steps in completing the revalidation process. Providers will have 30 days to respond to the request. In addition to notifying providers and collecting required documents, the HCA will screen providers as mandated by federal regulations, which may include on-site inspections. The HCA will also be responsible for ensuring that providers are in compliance with Washington state Medicaid requirements which includes verification of professional and business licensure and potential additional requirements under Washington law. 

What you can expect to see in a Revalidation Notice:
 

 

Tired of constantly mailing in paperwork for Prior Authorization?

The Health Care Authority (HCA) is now able to access stored electronic attachments such as photos and X-rays through FastAttach. FastAttach is an electronic claims attachment software which allows providers to electronically attach scanned documents or digital images to their claims. Washington dental Medicaid Providers can now use FastAttach to send required attached documentation to expedite the Prior Authorization process. According to National Electronic Attachment’s Dental Services, dental providers can use FastAttach to send unlimited attachment transmissions to the HCA and other payers for a monthly fee of $31 or an annual fee of $348.

Click here for more information

 

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